1
TEST BANK FOR INTRODUCTION TO CRITICAL CARE
NURSING 9TH EDITION BY SOLE
, 2
CH 01: Overview of Critical Care Nursing
MULTIPLE CHOICE
1. Which of the following professional organizations best supports critical care nursing practice?
a. American Association of Critical-Care nursing attendants
b. American Heart Association
c. American Nurses Association
d. Society of Critical Care Medicine
ACCURATE ANSWER:-A
Reasoning:->>>The American Association of Critical-Care nursing attendants is the specialty organization
that supports and represents critical care nursing attendants. The American Heart Association supports
cardiovascular initiatives. The American Nurses Association supports all nursing attendants. The Society of
Critical Care Medicine represents the multi professional critical care team under the direction of an
intensivist.
DIFFICULT: Cognitive Level: Knowledge REF: p. 4
OBJECTIVE: Discuss the purposes and functions of the professional organizations that support critical care
practice.TOPIC:Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
2. A nursing attendant has been working as a staff nursing attendant in the surgical intensive care unit
for 2 years and is interested in certification. Which credential would be most applicable for her to
seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ACCURATE ANSWER:-C
Reasoning:->>>The CCRN certification is appropriate for nursing attendants in bedside practice who
care for critically ill hospital patients. The ACNPC certification is for acute care nursing attendant
practitioners. The CCNS certification is for critical care clinical nursing attendant specialists. The PCCN
certification is for staff nursing attendants working in progressive care, intermediate care, orstep-down unit
settings.
DIFFICULT: Cognitive Level: Application REF: p. 5
OBJECTIVE: Explain certification options for critical care nursing attendants.TOPIC:Nursing
Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
, 3
3. The main purpose of certification is to:
a. assure the consumer that you will not make a mistake.
b. prepare for graduate school.
c. promote magnet status for your facility.
d. validate knowledge of critical care nursing.
ACCURATE ANSWER:-D
Reasoning:->>>Certification assists in validating knowledge of the field, promotes excellence in the
profession, and helps nursing attendants to maintain their knowledge of critical care nursing. Certification
helps to assure the consumer that the nursing attendant has a minimum level of knowledge; however, it does
not ensure that care will be mistake-free.
Certification does not prepare one for graduate school; however, achieving certification demonstrates
motivation for achievement and professionalism. Magnet facilities are rated on the number of certified nursing
attendants; however, that is not the purpose of certification.
DIFFICULT: Cognitive Level: Analysis REF: pp. 4-5
OBJECTIVE: Explain certification options for critical care nursing attendants.TOPIC:Nursing
Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
4. The synergy model of practice focuses on:
a. allowing unrestricted visiting for the hospital patient 24 hours each day.
b. holistic and alternative therapies.
c. needs of hospital patients and their families, which drives nursing competency.
d. hospital patients needs for energy and support.
ACCURATE ANSWER:-C
Reasoning:->>>The synergy model of practice states that the needs of hospital patients and families influence
and drive competencies of nursing attendants. Nursing practice based on the synergy model would involve
tailored visiting to meet the hospital patients and family’s needs and application of alternative therapies if
desired by the hospital patient, but that is not the primary focus of the model.
DIFFICULT: Cognitive Level: Application REF: p. 5 | Fig. 1-3
OBJECTIVE: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
5. The family of your critically ill hospital patient tells you that they have not spoken with the physician in
over 24 hours and they have some questions that they want clarified. During morning rounds, you convey this
concern to the attending intensivist and arrange for her to meet with the family at 4:00 PM in the
conference room. Which competency of critical care nursing does this represent?
, 4
a. Advocacy and moral agency in solving ethical issues
G G G G G G G
b. Clinical judgment and clinical reasoning skills
G G G G G
c. Collaboration with hospital patients, families, and team members
G G G G G G G
d. Facilitation of learning for hospital patients, families, and
G G G G G G G
G team members ACCURATE ANSWER:-C
G G G
Reasoning:->>>Although one might consider that all of these competencies are being addressed, G G G G G G G G G G G
communication and collaboration with the family and physician best exemplify the competency
G G G G G G G G G G G G
of collaboration.
G G
DIFFICULT: Cognitive Level: Analysis REF: p. 9
G G G G G G
OBJECTIVE: Describe standards of professional practice for critical care nursing.
G G G G G G G G G
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
G G G G G G G G G G G
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide
G G G G G G G G G G G G G G
Gcritical care nursing practice?
G G G
a. Evidence-based practice G
b. Healthy work environment G G
c. National Hospital patient Safety Goals
G G G G
d. Nursing process G
G ACCURATE ANSWER:- G
D
Reasoning:->>>The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing
G G G G G G G G G G G G
Gprocess as applied tocritically ill hospital patients: collect data, determine diagnoses, identify
G G G G G G G G G G G
Gexpected outcomes, develop a plan of care, implement interventions, and evaluate care. AACN
G G G G G G G G G G G G
Gpromotes a healthy work environment, but this is not included in the Standards. The Joint
G G G G G G G G G G G G G G
Commission has established National Hospital patient Safety Goals, but these are not the AACN
G G G G G G G G G G G G G G
GStandards.
DIFFICULT: Cognitive Level: Analysis REF: p. 5 | Box 1-2
G G G G G G G G G
OBJECTIVE: Describe standards of professional practice for critical care nursing.
G G G G G G G G G
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
G G G G G G G G G G G
7. The charge nursing attendant is responsible for making the hospital patient assignments on the critical
G GG G G G G G G G G G G G G
Gcare unit. She assigns the experienced, certified nursing attendant to care for the acutely ill hospital
G G G G G G G G G G G G G G G
Gpatient with sepsis who also requires continuous renal replacement therapy and mechanical ventilation.
G G G G G G G G G G G G
GShe assigns the nursing attendant with less than 1 year of experience to two hospital patients who are
G G GG G G G G G G G G G G G G G G
Gmore stable. This assignment reflects implementation of the:
G G G G G G G
TEST BANK FOR INTRODUCTION TO CRITICAL CARE
NURSING 9TH EDITION BY SOLE
, 2
CH 01: Overview of Critical Care Nursing
MULTIPLE CHOICE
1. Which of the following professional organizations best supports critical care nursing practice?
a. American Association of Critical-Care nursing attendants
b. American Heart Association
c. American Nurses Association
d. Society of Critical Care Medicine
ACCURATE ANSWER:-A
Reasoning:->>>The American Association of Critical-Care nursing attendants is the specialty organization
that supports and represents critical care nursing attendants. The American Heart Association supports
cardiovascular initiatives. The American Nurses Association supports all nursing attendants. The Society of
Critical Care Medicine represents the multi professional critical care team under the direction of an
intensivist.
DIFFICULT: Cognitive Level: Knowledge REF: p. 4
OBJECTIVE: Discuss the purposes and functions of the professional organizations that support critical care
practice.TOPIC:Nursing Process Step: N/A
MSC: NCLEX: Safe and Effective Care Environment
2. A nursing attendant has been working as a staff nursing attendant in the surgical intensive care unit
for 2 years and is interested in certification. Which credential would be most applicable for her to
seek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ACCURATE ANSWER:-C
Reasoning:->>>The CCRN certification is appropriate for nursing attendants in bedside practice who
care for critically ill hospital patients. The ACNPC certification is for acute care nursing attendant
practitioners. The CCNS certification is for critical care clinical nursing attendant specialists. The PCCN
certification is for staff nursing attendants working in progressive care, intermediate care, orstep-down unit
settings.
DIFFICULT: Cognitive Level: Application REF: p. 5
OBJECTIVE: Explain certification options for critical care nursing attendants.TOPIC:Nursing
Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
, 3
3. The main purpose of certification is to:
a. assure the consumer that you will not make a mistake.
b. prepare for graduate school.
c. promote magnet status for your facility.
d. validate knowledge of critical care nursing.
ACCURATE ANSWER:-D
Reasoning:->>>Certification assists in validating knowledge of the field, promotes excellence in the
profession, and helps nursing attendants to maintain their knowledge of critical care nursing. Certification
helps to assure the consumer that the nursing attendant has a minimum level of knowledge; however, it does
not ensure that care will be mistake-free.
Certification does not prepare one for graduate school; however, achieving certification demonstrates
motivation for achievement and professionalism. Magnet facilities are rated on the number of certified nursing
attendants; however, that is not the purpose of certification.
DIFFICULT: Cognitive Level: Analysis REF: pp. 4-5
OBJECTIVE: Explain certification options for critical care nursing attendants.TOPIC:Nursing
Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
4. The synergy model of practice focuses on:
a. allowing unrestricted visiting for the hospital patient 24 hours each day.
b. holistic and alternative therapies.
c. needs of hospital patients and their families, which drives nursing competency.
d. hospital patients needs for energy and support.
ACCURATE ANSWER:-C
Reasoning:->>>The synergy model of practice states that the needs of hospital patients and families influence
and drive competencies of nursing attendants. Nursing practice based on the synergy model would involve
tailored visiting to meet the hospital patients and family’s needs and application of alternative therapies if
desired by the hospital patient, but that is not the primary focus of the model.
DIFFICULT: Cognitive Level: Application REF: p. 5 | Fig. 1-3
OBJECTIVE: Describe standards of professional practice for critical care nursing.
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
5. The family of your critically ill hospital patient tells you that they have not spoken with the physician in
over 24 hours and they have some questions that they want clarified. During morning rounds, you convey this
concern to the attending intensivist and arrange for her to meet with the family at 4:00 PM in the
conference room. Which competency of critical care nursing does this represent?
, 4
a. Advocacy and moral agency in solving ethical issues
G G G G G G G
b. Clinical judgment and clinical reasoning skills
G G G G G
c. Collaboration with hospital patients, families, and team members
G G G G G G G
d. Facilitation of learning for hospital patients, families, and
G G G G G G G
G team members ACCURATE ANSWER:-C
G G G
Reasoning:->>>Although one might consider that all of these competencies are being addressed, G G G G G G G G G G G
communication and collaboration with the family and physician best exemplify the competency
G G G G G G G G G G G G
of collaboration.
G G
DIFFICULT: Cognitive Level: Analysis REF: p. 9
G G G G G G
OBJECTIVE: Describe standards of professional practice for critical care nursing.
G G G G G G G G G
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
G G G G G G G G G G G
6. The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide
G G G G G G G G G G G G G G
Gcritical care nursing practice?
G G G
a. Evidence-based practice G
b. Healthy work environment G G
c. National Hospital patient Safety Goals
G G G G
d. Nursing process G
G ACCURATE ANSWER:- G
D
Reasoning:->>>The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing
G G G G G G G G G G G G
Gprocess as applied tocritically ill hospital patients: collect data, determine diagnoses, identify
G G G G G G G G G G G
Gexpected outcomes, develop a plan of care, implement interventions, and evaluate care. AACN
G G G G G G G G G G G G
Gpromotes a healthy work environment, but this is not included in the Standards. The Joint
G G G G G G G G G G G G G G
Commission has established National Hospital patient Safety Goals, but these are not the AACN
G G G G G G G G G G G G G G
GStandards.
DIFFICULT: Cognitive Level: Analysis REF: p. 5 | Box 1-2
G G G G G G G G G
OBJECTIVE: Describe standards of professional practice for critical care nursing.
G G G G G G G G G
TOP: Nursing Process Step: N/A MSC: NCLEX: Safe and Effective Care Environment
G G G G G G G G G G G
7. The charge nursing attendant is responsible for making the hospital patient assignments on the critical
G GG G G G G G G G G G G G G
Gcare unit. She assigns the experienced, certified nursing attendant to care for the acutely ill hospital
G G G G G G G G G G G G G G G
Gpatient with sepsis who also requires continuous renal replacement therapy and mechanical ventilation.
G G G G G G G G G G G G
GShe assigns the nursing attendant with less than 1 year of experience to two hospital patients who are
G G GG G G G G G G G G G G G G G G
Gmore stable. This assignment reflects implementation of the:
G G G G G G G
